# USAF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174500961
- **Authorized official:** KORY CORNUM M.D. (MEDICAL GROUP COMMANDER)
- **Authorized official phone:** (757) 764-6969

## Contact information

- **Practice address:** 1ST MEDICAL GROUP, 45 PINE ROAD, LANGLEY AFB, VA 23665-2080
- **Practice address phone:** (757) 764-7611
- **Mailing address:** 1ST MEDICAL GROUP, 45 PINE ROAD, LANGLEY AFB, VA 23665-2080
- **Mailing address phone:** (757) 764-7611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 014623 | MO | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 04/02/2008